"I guess baby was just too comfy in there…": A qualitative study of women's experiences of elective late-term induction of labour.


Journal

Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131

Informations de publication

Date de publication:
May 2021
Historique:
received: 06 12 2019
revised: 05 03 2020
accepted: 27 03 2020
pubmed: 15 5 2020
medline: 1 5 2021
entrez: 15 5 2020
Statut: ppublish

Résumé

The frequency of induction of labour (IOL) in late-term pregnancy has increased significantly, but little is known about how women with uncomplicated pregnancies experience IOL for late-term indication alone. To explore how women with uncomplicated pregnancies experienced late-term IOL. Qualitative interviews were conducted with 23 women who all had labour induced on late-term indication only. Participants were recruited from two Danish hospitals who offered an outpatient induction regime. The women were interviewed 4-8 weeks after birth. Data were analysed using thematic analysis. All women had hoped for a spontaneous birth. Prolonged pregnancy was understood as the body/baby "not being ready", but generally, the women were not worried at that point. Most women felt adequately informed about the reasons for IOL, but some requested more information and time to consider their options. The majority considered IOL to be both an offer and a recommendation. One-third of the participants were initially hesitant but chose/accepted IOL because of weariness from pregnancy and the impatience to deliver a healthy child. The opportunity of outpatient induction was generally appreciated as it allowed the women to continue everyday activities while waiting for labour to begin. Nineteen women reported having a good birthing experience. Two women felt that negative birthing experiences were partly related to IOL. Most women considered the late-term IOL to be a positive experience. Some women requested more information and time to consider alternatives. These women should be provided with supported opportunities to consider the options.

Sections du résumé

BACKGROUND BACKGROUND
The frequency of induction of labour (IOL) in late-term pregnancy has increased significantly, but little is known about how women with uncomplicated pregnancies experience IOL for late-term indication alone.
AIM OBJECTIVE
To explore how women with uncomplicated pregnancies experienced late-term IOL.
METHODS METHODS
Qualitative interviews were conducted with 23 women who all had labour induced on late-term indication only. Participants were recruited from two Danish hospitals who offered an outpatient induction regime. The women were interviewed 4-8 weeks after birth. Data were analysed using thematic analysis.
RESULTS RESULTS
All women had hoped for a spontaneous birth. Prolonged pregnancy was understood as the body/baby "not being ready", but generally, the women were not worried at that point. Most women felt adequately informed about the reasons for IOL, but some requested more information and time to consider their options. The majority considered IOL to be both an offer and a recommendation. One-third of the participants were initially hesitant but chose/accepted IOL because of weariness from pregnancy and the impatience to deliver a healthy child. The opportunity of outpatient induction was generally appreciated as it allowed the women to continue everyday activities while waiting for labour to begin. Nineteen women reported having a good birthing experience. Two women felt that negative birthing experiences were partly related to IOL.
CONCLUSIONS CONCLUSIONS
Most women considered the late-term IOL to be a positive experience. Some women requested more information and time to consider alternatives. These women should be provided with supported opportunities to consider the options.

Identifiants

pubmed: 32404274
pii: S1871-5192(20)30213-4
doi: 10.1016/j.wombi.2020.03.012
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

242-249

Informations de copyright

Copyright © 2020 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Auteurs

Stina Lou (S)

DEFACTUM - Public Health & Health Services Research, Central Denmark Region, Aarhus, Denmark; Center for Fetal Diagnostics, Department of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark. Electronic address: stina.lou@rm.dk.

Kathrine Carstensen (K)

DEFACTUM - Public Health & Health Services Research, Central Denmark Region, Aarhus, Denmark.

Lone Hvidman (L)

Department of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Trine Fritzner Jensen (TF)

Department of Obstetrics and Gynecology, Randers Regional Hospital, Randers, Denmark.

Lone Neumann (L)

Department of Obstetrics and Gynecology, Randers Regional Hospital, Randers, Denmark.

Joke-Gesine Habben (JG)

Department of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark.

Niels Uldbjerg (N)

Department of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

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Classifications MeSH